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基础身体意识疗法对进食障碍患者的影响的初步研究:一项随机对照试验。

A pilot study on the effect of Basic Body Awareness Therapy in patients with eating disorders: a randomized controlled trial.

机构信息

Department of Nursing and Physiotherapy, University of Almería, Spain.

出版信息

Clin Rehabil. 2011 Jul;25(7):617-26. doi: 10.1177/0269215510394223. Epub 2011 Mar 14.

Abstract

OBJECTIVE

To analyse the feasibility of Basic Body Awareness Therapy in people with eating disorders.

DESIGN

A randomized controlled trial; the assessors were not blinded to the group allocation.

SETTING

The eating disorders department within a hospital setting.

SUBJECTS

Twenty-eight outpatients with eating disorders for less than five years.

INTERVENTION

All patients received standard outpatient treatment. The intervention group (n = 14) also received Basic Body Awareness Therapy for seven weeks.

MAIN MEASURES

Eating Disorder Inventory, Eating Attitude Test, Body Attitude Test and Quality of Life Scale SF-36.

RESULTS

Analysing the differences between both groups, significant differences were found in Eating Disorder Inventory (mean difference: 26.3; P = 0.015) and in its subscales 'drive to thinness' (P = 0.003), 'body dissatisfaction' (P = 0.025) and 'ineffectiveness' (P = 0.014). Also in Body Attitude Test (mean difference: 33.0; P = 0.012), Eating Attitude Test-40 (mean difference: 17.7; P = 0.039) and SF-36 in the section 'mental health' (mean difference: 13.0; P = 0.002).

CONCLUSIONS

This study has shown some effectiveness of Basic Body Awareness Therapy in improving some symptoms in outpatients with eating disorders. Further studies should include larger samples, double-blinded and placebo methodologies, and should focus on questions such as which eating disorder diagnoses benefit most from physical therapy.

摘要

目的

分析基础身体意识疗法在饮食障碍患者中的可行性。

设计

随机对照试验;评估者对分组分配不知情。

设置

医院环境中的饮食障碍科。

受试者

28 名饮食障碍患者,患病时间不足 5 年。

干预

所有患者均接受标准门诊治疗。干预组(n=14)还接受了为期 7 周的基础身体意识疗法。

主要观察指标

饮食障碍量表、饮食态度测试、身体态度测试和健康调查简表 SF-36。

结果

分析两组之间的差异,发现饮食障碍量表(平均差异:26.3;P=0.015)及其“瘦身欲望”(P=0.003)、“身体不满”(P=0.025)和“无效感”(P=0.014)分量表以及身体态度测试(平均差异:33.0;P=0.012)、饮食态度测试-40(平均差异:17.7;P=0.039)和健康调查简表 SF-36 的“心理健康”部分(平均差异:13.0;P=0.002)均有显著差异。

结论

本研究表明基础身体意识疗法在改善门诊饮食障碍患者的一些症状方面具有一定的效果。进一步的研究应包括更大的样本量、双盲和安慰剂方法,并应关注哪些饮食障碍诊断最受益于物理治疗等问题。

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